dr. salahudeen al bulushi director of dental & oral health ministry of health oral health and...
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Dr. Salahudeen Al BulushiDirector of Dental & Oral Health
Ministry of Health
Oral health and workforce issues – reflections from
Oman
Content IntroductionDemographyOral health status of Omani populationWorkforce in OmanChallenges and need for improvementsPublic health measures implementedFuture prospectiveKey factors in workforce planning
IntroductionHuman resources are critical in to the sustainability of any
healthcare system.
Achieving self reliance was developed by the strategic direction of various healthcare governing bodies, so has the work done to develop national programs, utilize scholarship opportunities, and conduct appropriate continuing professional development activities to ensure a strategic approach to addressing the needs of the expanding Omani population.
Healthcare leaders from the civil, armed forces, educational, and private institutions have created a harmonious collaborative effort to develop, strengthen, and sustain an internationally reputed healthcare system and subsequent workforce.
Age group Cumulative
percentage of population %
0-4 13.2
5-9 23.4
10-14 34
15-19 46.1
20-24 59
25-29 70.5
30-34 79.5
35-39 85.4
40-44 89.3
45-49 92.3
50-54 94.5
55-59 96.2
60-64 97.5
65-69 98.7
70-74 99.3
75-79 99.7
80+ 100
Omani population distribution according to age
ORAL HEALTH STATUS OF OMANI POPULATION
1. Alazri. K, Alnabhani, Y. Prevalence & risk factors for Early childhood caries: Armed forces Hospital experience in the sultanate of Oman – poster presentation at Oman International dental conference 2013
Age (Yrs)
Age (Yrs)
1. Alazri. K, Alnabhani, Y. Prevalence & risk factors for Early childhood caries: Armed forces Hospital experience in the sultanate of Oman – poster presentation at Oman International dental conference 2013
Mean dmft
Mean deft of 6 year old Children in Oman2
year deft
2007 4.25
2008 4.4
2009 4.9
2010 5.3
2011 5.1
2. Ministry of Health Annual Health reports
mean DMFT of 12 years in each governorates
Mean DMFT of adults in Oman3 Cross sectional study of 319 teachers who
are randomly selected from Muscat Governorate public schools in Oman
Age of participants ranged from 23 to 50 (mean 30.9 SD 5.3)
Findings:Caries free 7%Mean DMFT 6.3 (SD 4.2)
3 Al Harthi L., Cullinan M., Leichter J., Thomson M. Oral health of an adult group in Oman – poster presentation at Oman International dental conference 2013
Workforce in Oman
Number of Dentist and Dental Auxiliaries in Oman
Sector GPOrtho
Spl
Oral Surgery
SplEndo Spl
Prostho Spl
Paedo Spl
Perio. Spl
Dental Public Health
Dental Therapist
Dental Lab
Technician
Dental Hygienst
sDSA Total
MOH214 7 10 2 3 2 1 4 1 3 27 177 451
MOD37 2 2 1 3 1 0 0 3 18 35 55 157
SQUH4 0 3 1 0 1 0 0 1 0 1 4 15
Diwan3 0 0 0 1 0 0 0 1 3 0 7 15
ROP1 1 1 0 1 0 0 0 0 2 4 1 11
Private424 30 1 1 3 3 1 0 2 59 1 1 526
Total 683 40 17 5 11 7 2 4 8 85 68 245 1175
Number per 10,000 population Source: the WHO statistics 2010
Healthcare Workforce Densities in Selected Countries (2010) compared to reported DMFT in 12 years old children
Public Health measures implemented
Topping up fluorides in the public water
Topical Fluoride applications and fissure sealant in Oman
Future prospectivePre-school children fluoride applicationsSchool-based dental preventive
programmesIncrease number of pediatric,
orthodontists specialist servicesExpanding the primary health care
servicesPublic education campaign focused on oral
health prevention and education.The establishment of the National Dental
Workforce Planning Group
Challenges and need for improvements
Private dental college to train undergraduate dental students
Rapid expansion (or planned expansion) of dental facilities by most service providers
Un organized private dental sector
Risk factors
Key factors in workforce planningWHO (2001) and the Canadian Health services Research
Foundation (2007) a comprehensive study of the workforce planning may take into consideration: Changing health needs in the population;Productivity, practice patterns or variances in specialty
mixIncreased investment in health promotion and chronic
disease management and the resulting need for different skills and deployment;
Advances in treatment and technology that may change the type and amount of treatment patients need;
New service delivery modelsExpanded scopes of practice and new deployment
models/roles; and The distribution of the workforce.
Key factors in workforce planningKey implications for healthcare decision-
makers must involve a need-based and outcome-directed outcome, the needs do not remain constant, and changes are multi-faceted requiring multi-disciplinary intervention that is clearly measured and documented
Towards better Oral health for our
children
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